Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.24 / $828.24 / $828.24	Facility		$828.24	$828.24	$828.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.61 / $1,130.61 / $4,415.99	Professional		$810.61	$1,130.61	$4,415.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $843.35	Facility		$843.35	$843.35	$843.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $843.35 / $843.35	Professional		$716.85	$843.35	$843.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,201.11 / $1,501.40 / $2,252.10	Professional		$1,201.11	$1,501.40	$2,252.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.43 / $456.43 / $964.93	Facility		$456.43	$456.43	$964.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $843.35 / $1,759.45	Professional		$716.85	$843.35	$1,759.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.61 / $1,529.61 / $1,799.54	Facility		$1,529.61	$1,529.61	$1,799.54
United Facility/Professional Professional Modifier Low / Median / High Price $622.54 / $673.33 / $1,037.58	Professional		$622.54	$673.33	$1,037.58